Individual
MRS. SUSAN ALICE CHRISTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 S HIGH SCHOOL ST, ADA, OK 74820-8231
(580) 399-5086
Mailing address
PO BOX 1343, ADA, OK 74821-1343
(580) 399-5086
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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